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Case reports in ophthalmological medicine 39건

  1. [해외논문]   Spontaneous Macular Hole Closure after Valsalva Retinopathy and Nd:YAG Laser Treatment  

    Suren, Elcin (Antalya Education and Research Hospital, Ophthalmology Department, Antalya, Turkey ) , Akidan, Melih (Kepez State Hospital, Ophthalmology Department, Antalya, Turkey ) , Erol, Muhammet Kazim (Antalya Education and Research Hospital, Ophthalmology Department, Antalya, Turkey ) , Toslak, Devrim (Antalya Education and Research Hospital, Ophthalmology Department, Antalya, Turkey)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Purpose . The purpose of this report is to present a case who had spontaneous macular hole closure after Nd:YAG laser membranotomy applied to premacular haemorrhage associated with Valsalva retinopathy. Methods. Case report. Results. A 19-year-old young male patient presented to our clinic with sudden vision loss in his right eye, which had occurred 2 weeks before, following push-up and sit-up exercise. The patient was found to have premacular haemorrhage associated with Valsalva retinopathy. Nd:YAG laser membranotomy was performed. During his follow-up at week 1, full-thickness MH was observed and he was put under observation. At month 6, his vision acuity improved, laser coagulation sites in the fundus disappeared, and macular hole closed spontaneously. Conclusion. Macular hole that develops after Nd:YAG laser treatment of Valsalva retinopathy may spontaneously be closed like in our case. However, there is a need for further research to understand the mechanism of closure.

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  2. [해외논문]   Acute Posterior Multifocal Placoid Pigment Epitheliopathy Associated with Gastrointestinal Stromal Tumor and Hurthle Cell Tumor  

    Kim, Daniel D. (Eye Institute, West Virginia University, Morgantown, WV, USA ) , Ghorayeb, Ghassan (Eye Institute, West Virginia University, Morgantown, WV, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Acute posterior multifocal placoid pigment epitheliopathy (APMPEE) is a chorioretinal inflammatory disease of unknown origin. Patients usually present with a rapid loss of central/paracentral vision over the course of a week in both eyes. The fundus exhibits rapid appearance of multiple deep subretinal yellow-white, flat lesions at the RPE/choriocapillaris level. This in turn causes changes of both the ellipsoid zone and RPE which can result in permanent central vision loss. The pathogenesis is controversial but is associated with a recent viral illness and can involve the central nervous system with concern for cerebral vasculitis. Rare reports of APMPEE associated with systemic vasculitis such as Wegener's granulomatosis and malignancy such as clear cell renal carcinoma have been reported. We report a case of APMPEE with concurrent diagnosis of gastrointestinal stromal tumor and Hurthle cell tumor. While such association may well be coincidental, the near simultaneous presentation raised our suspicion for potential association.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Optical Coherence Tomography Angiography  

    Schwartz, Stephen G. (Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA ) , Flynn, Harry W. (Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA ) , Grzybowski, Andrzej (Institute for Research in Ophthalmology, Poznan, Poland ) , Pathengay, Avinash (Retina and Uveitis Department, LV Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, Andhra Pradesh, India ) , Scott, Ingrid U. (Department of Ophthalmology, Penn State College of Medicine, Hershey, PA, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 2 , 2018 , 2090-6722 ,

    초록

    Acute posterior multifocal placoid pigment epitheliopathy (APMPEE) is a chorioretinal inflammatory disease of unknown origin. Patients usually present with a rapid loss of central/paracentral vision over the course of a week in both eyes. The fundus exhibits rapid appearance of multiple deep subretinal yellow-white, flat lesions at the RPE/choriocapillaris level. This in turn causes changes of both the ellipsoid zone and RPE which can result in permanent central vision loss. The pathogenesis is controversial but is associated with a recent viral illness and can involve the central nervous system with concern for cerebral vasculitis. Rare reports of APMPEE associated with systemic vasculitis such as Wegener's granulomatosis and malignancy such as clear cell renal carcinoma have been reported. We report a case of APMPEE with concurrent diagnosis of gastrointestinal stromal tumor and Hurthle cell tumor. While such association may well be coincidental, the near simultaneous presentation raised our suspicion for potential association.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

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  4. [해외논문]   A Rare Case of Unilateral Morning Glory Disc Anomaly in a Patient with Turner Syndrome: Report and Review of Posterior Segment Associations  

    Sahni, Dev R. (Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Wallace, Michael (Department of Ophthalmology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Kanhere, Mansi (Department of Pediatrics, Division of Endocrinology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Al Saif, Hind (Department of Pediatrics, Division of Clinical Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA ) , Couser, Natario (Department of Ophthalmology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 3 , 2018 , 2090-6722 ,

    초록

    Turner syndrome is a common sex chromosome disorder affecting females. The disorder is caused by a partial loss, complete absence, or structural abnormality of one X chromosome. The clinical presentation is broad and ranges from the classic phenotype to minimal clinical manifestations. Ocular abnormalities associated with the syndrome are common. Reports describing abnormal eye features in individuals with Turner syndrome generally involve refractive errors (myopia or hyperopia), strabismus, and external or anterior segment abnormalities including hypertelorism, epicanthal folds, and ptosis. Posterior ocular segment anomalies involving the optic nerve and retina in Turner syndrome have been rarely reported. We report a rare presentation of an 11-year-old female with Turner syndrome and unilateral morning glory disc anomaly.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Bilateral Angle Narrowing and Acute Myopia Induced by Indapamide: A Case Report  

    Pedrosa, Ana Catarina (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , Araú (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , jo, Joana Rodrigues (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , Macedo, Joã (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , o Paulo (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal ) , Silva, Sé (Department of Ophthalmology, Centro Hospitalar São João, Porto, Portugal) , rgio Estrela , Melo, Antó , nio , Falcã , o-Reis, Fernando
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Purpose . To describe a clinical case of indapamide induced bilateral angle narrowing and acute myopia. Materials and Methods . Clinical case report. Results . A 37-year-old Caucasian emmetropic man presented to the Emergency Department with complaints of acute-onset bilateral blurry vision, nine days after starting treatment for arterial hypertension with a combination of indapamide and amlodipine. Clinical examination revealed the presence of myopia and appositional closure of the anterior chamber angle. Ultrasound biomicroscopy and mode B ultrasonography disclosed bilateral ciliochoroidal effusion with anterior rotation of the ciliary body and iridocorneal angle narrowing. After intraocular pressure control with brimonidine and timolol, and replacement of indapamide/amlodipine by amlodipine only, the patient was discharged. Complete resolution of the clinical manifestations was observed after three weeks, with no sequelae. Conclusions . Indapamide may cause acute myopia and angle closure secondary to ciliochoroidal effusion that are fully reversible after drug withdrawal, as long as timely diagnosis is established. Therefore, indapamide, as well as other sulfonamide-derived drugs, must always be considered in the differential diagnosis of acute myopia and angle closure.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   A Combination of Surgical Techniques to Repair a Giant Traumatic Macular Hole  

    Ch'ng, Soon Wai (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Elaraoud, Ibrahim (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Karl, David (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Kalogeropoulos, Dimitrios (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Lee, Rynn (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK ) , Carreras, Elisa (Birmingham Midlands Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham B18 7QH, UK)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    A 38-year-old man with a traumatic full-thickness macular hole (FTMH) presented to our eye casualty department with a sudden deterioration of his right eye vision to hand movements over the past one week. The suspected traumatic FTMH was present since he was 13 years old from a direct impact of a golf ball in his right eye and his best-corrected visual acuity (BCVA) has always remained at 1/60 Snellen vision. On examination, he had a very large FTMH measuring 1635 μ m with central foveal retinal detachment. Pars plana vitrectomy combined with large inverted internal limiting membrane (ILM) peel flap, 5000 Cs silicone oil tamponade, and autologous platelets implantation was performed. Follow-up visits revealed that the FTMH was closed under silicone oil. The silicone oil was removed six months after the surgery and the FTMH remained close with the retina remaining attached. His BCVA was restored to his previous baseline level of 1/60 Snellen vision. With the advent of multiple techniques to repair FTMH such as the ILM flaps, we have combined this technique with older proven techniques such as silicone oil tamponade and autologous platelets implantation to close the giant traumatic FTMH. This case study demonstrates that combining techniques can help close a FMTH that is otherwise deemed impossible in the past.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Corneal Cross-Linking Window Absorption (CXL-WA) as an Adjuvant Therapy in the Management of Aspergillus niger Keratitis  

    Rosetta, Pietro (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy ) , Legrottaglie, Emanuela F. (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy ) , Pagano, Luca (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy ) , Vinciguerra, Paolo (Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, Milano, Italy)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 5 , 2018 , 2090-6722 ,

    초록

    Purpose . To evaluate the effectiveness of corneal cross-linking window absorption (CXL-WA) as an adjuvant therapy for Aspergillus keratitis. Methods . A 90-year-old male came to our clinic complaining of hyperemic conjunctivitis and progressive visual loss in the right eye. Slit-lamp examination showed keratic precipitates, severe corneal opacity, and stromal edema. Corneal scraping culture was positive for Aspergillus niger . Because the clinical condition did not sufficiently improve with antifungal therapy, the patient underwent CXL-WA as an adjuvant therapy. Results . During the first week after treatment, the Tyndall effect, corneal edema, and signs of ocular inflammation progressively lessened. At the third postoperative month, the cornea was stable without signs of fungal keratitis. However, after this period, a descemetocele appeared in the cornea (2 × 2 mm in diameter), so the patient underwent a corneal penetrating keratoplasty. Histological evaluation of the removed corneal tissue revealed the presence of hyphae and fungal infection. Conclusions . We reported a case of in vivo CXL-WA used as an adjuvant therapy for deep stromal Aspergillus keratitis. CXL did not completely eradicate the fungal infection which caused perforation 4 months after treatment and it still cannot be considered a definitive solution to mycotic keratitis, which maintains a poor long-term prognosis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Simultaneous Subconjunctival Triamcinolone and Bevacizumab Injections for Management of Blepharokeratoconjunctivitis in Children  

    Nguyen, Chu Luan (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Chen, Tony S. (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Tran, Khoi (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Smith, James E. H. (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia ) , Lewis, Noni (Department of Ophthalmology, Royal North Shore Hospital, Sydney, NSW, Australia)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Purpose . To report the efficacy of subconjunctival triamcinolone (Kenalog A-40, Alcon) and bevacizumab (Avastin, Genentech) injections in fraternal twins with blepharokeratoconjunctivitis (BKC) causing progressive, bilateral corneal neovascularization and scarring. Methods. In this retrospective observational case series, two three-year-old male twins with BKC had presented with bilateral red eyes, photophobia, and frequent blinking. Examination of each child showed bilateral deep stromal and superficial corneal neovascularization, corneal infiltrates, multiple follicles on the palpebral conjunctiva bilaterally with blepharitis, and thick turbid sebum expressed from the Meibomian glands. Their disease progressed despite conventional treatment. Both twins were managed with subconjunctival triamcinolone injection and subconjunctival bevacizumab injection of each eye. Results . The treatment resulted in improvement of symptoms, and examination over an 8-10-month period postinjections showed fading stromal corneal infiltrates, partially regressed corneal neovascularization, and reduced conjunctival injection without complications. Conclusion . This case series highlights the potential vision threatening complications of BKC. In addition to conventional management options, this report is the first published use of subconjunctival triamcinolone and bevacizumab injections for BKC in children in an attempt to minimize and improve corneal neovascularization and scarring and subsequently to retain useful vision.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Diagnosis of Vitreoretinal Aspergillosis with Transvitreal Retinochoroidal Biopsy  

    Peddada, Krishi (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA ) , Khan, Nida M. (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA ) , Rubin, Jascha (Rittenhouse Hematology/Oncology, Philadelphia, PA, USA ) , Zakaryan, Haykanush (Department of Radiology, Drexel University College of Medicine, Philadelphia, PA, USA ) , Liu, Yaobin (Department of Pathology & Laboratory Medicine, Drexel University College of Medicine, Philadelphia, PA, USA ) , Popnikolov, Nikolay (Department of Pathology & Laboratory Medicine, Drexel University College of Medicine, Philadelphia, PA, USA ) , Sangani, Roshun (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA ) , Li, Weiye (Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USA)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 4 , 2018 , 2090-6722 ,

    초록

    Diagnosing culture-proven endophthalmitis is complicated by the insufficient yield of intraocular samples and the variety of etiologies which mimic true endophthalmitis. In cases of impending vision loss where vitreous biopsy cannot provide a definitive diagnosis, transvitreal retinochoroidal biopsy can be an effective next step. Our case is a 48-year-old male with B-cell acute lymphoblastic leukemia that presented with counting fingers vision, redness, and tearing of the left eye. Exam showed cell and flare with hypopyon as well as dense vitritis. The patient underwent diagnostic pars plana vitrectomy and vitreous culture was negative at the time. Flow cytometry demonstrated no malignant cells. However, the patient's vision and mental status continued to clinically decline despite being started on intravitreal and systemic antibiotic and antifungal therapy. Neuroimaging revealed rim-enhancing brain lesions. Transvitreal retinochoroidal biopsy was performed in an elevated area of the retina. The biopsy helped rule out malignancy and showed acute-angle, septate, branching hyphae characteristic of Aspergillus fumigatus . Ultimately, the vitreous biopsy, cultures, and a biopsy from the left frontal lobe brain abscess all confirmed this diagnosis as well. Transvitreal retinochoroidal biopsy can play a role in the diagnosis of a case of posterior uveitis and can be particularly effective in diagnosing a fungal endophthalmitis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Absent Foveal Pit, Also Known as Fovea Plana, in a Child without Associated Ocular or Systemic Findings  

    Hernandez-Moreno, Laura (Low Vision and Visual Rehabilitation Lab, Department and Center of Physics-Optometry and Vision Science, University of Minho Braga, Braga, Portugal ) , Moreno Perdomo, Natacha (Hospital Santa Maria Maior E.P.E-Barcelos, Ophthalmology Service, Barcelos, Portugal ) , Aleman, Tomas S. (Scheie Eye Institute, Department of Ophthalmology, University of Pennsylvania, Philadelphia, PA, USA ) , Baskaran, Karthikeyan (Department of Medicine and Optometry, Linnaeus University, Kalmar, Sweden ) , Macedo, Antonio Filipe (Low Vision and Visual Rehabilitation Lab, Department and Center of Physics-Optometry and Vision Science, University of Minho Braga, Braga, Portugal)
    Case reports in ophthalmological medicine v.2018 ,pp. 1 - 5 , 2018 , 2090-6722 ,

    초록

    The purpose of this report is to describe a case of bilateral foveal hypoplasia in the absence of other ophthalmological or systemic manifestations. We characterize the case of a 9-year-old Caucasian male who underwent full ophthalmologic examination, including functional measures of vision and structural measurements of the eye. Best corrected visual acuity was 0.50 logMAR in the right eye and 0.40 logMAR in the left eye. Ophthalmoscopy revealed a lack of foveal reflex that was further investigated. Optical coherence tomography (OCT) confirmed the absence of foveal depression (pit). OCT images demonstrated the abnormal structure of retina in a region in which we expected a fovea; these findings were decisive to determine the cause of reduced acuity in the child.

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